Rhabdomyoma of the heart

Fabrice Cuillier, MD; P. Scemama, MD; T. Gervais, MD

HÎpital Félix Guyon, 97400  Saint-Denis, Ile de la Réunion, France. Telephone: 0262 90 55 22; fax: 0262 90 77 30;

Case report

This is a 30-year-old woman (G1P0), referred to our antenatal unit at 35 weeks due to a cardiac tumor of the fetus. There was no known family history of congenital disease. The patient didn"t take any medications.

Fetal echocardiography revealed an echodense mass of 45x40x35 mm in diameter, attached to the cardiac apex and interventricular septum. Other morphology of the heart and the rest of the fetus were normal. The karyotype was normal too.

The neonate was delivered at 38 weeks and its postnatal adaptation was normal. Postnatal echocardiography confirmed the diagnosis.

Our presumptive diagnosis was cardiac rhabdomyoma.

Images 1, 2: 35 weeks of pregnancy; transverse scans of the thorax at the level of four-chamber view show a hyperechoic mass of the cardiac apex and interventricular septum.

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Videos 1, 2: 35 weeks of pregnancy; transverse scans of the thorax at the level of four-chamber view show a hyperechoic mass of the cardiac apex and interventricular septum.

Videos 3, 4: 35 weeks of pregnancy; transverse scans of the thorax at the level of four-chamber view show a hyperechoic mass of the cardiac apex and interventricular septum.

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